DSM-IV Bulimia Nervosa Diagnosis

A persistent compulsion to overeat accompanied by a sense of lack of control. The overeating consists of more than 1000 calories – more than others would eat during a similar 2-hour period. These bouts of overeating occur at least twice a week over a 3-month period. A variety of strategies are used to compensate for weight gain, e.g. self-induced vomiting, laxatives, diuretics, fasting, drugs to stimulate metabolism, appetite suppressants, and over-exercise. Over-concern about weight and shape. Self-perception of being too fat.